SAN-MAR-71

Code
SAN-MAR-71
Mercy ID
V-03337-01
Encounter Date
06/09/2010
Last
Sandoval
First
Maria del carmen
DOB
09/23/1971
County
Gwinnett
Street
32 Pinetree Rd.
City
Larenceville
State
GA
Zip
30043-
Cell
(404) 454-3764
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo